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Septic As-Built Card
• Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: (d (prl P..ou ie 7'`g ( Y5i-it.f I�/� RowRow " Map:_512 Parcel: I' j 4p C3oNOc - --x$53/ Owner Name: R Y4iQ PAM 101 A-ktuS SCS-LENT 5 Permit#: 2o - 0 4 Date Installed: .-3.1 1©L '� 0 New: ><" Repair: 5o Installer Name: Rob> 'r oIi Co Installer Phone: '1.7— S$77 Installation of(list all components, both newly installed and existing to remain in use): +r mus—ri&) SGPtiL TTu NEZtj N-a.a 13-1309C w/ g ISS 1D GR4 4pp C€►NCLZ `tom G-K(S1(06c C.G E14I1 Leach Capacity(god): Ground Water Depth (inches): Health Inspection by: v� "�i1 2o-1MQL.A.064.02, As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) 4 R e,� 0 o 3 2 • G MAR 0 3 2020 HEALTH DEPT A B C D E F — G 1 15.(o ' 2. 2 (,g' 26,2 ' 3 6 o' 3o 4 31 41•I.' 5 re3 • 49 ' 6 Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: OTrj ROuT6 aSS S 4S.* 4 Map: 5 © P rcel: U 4 Owner Name: RYAN P.RM1L' A MOS GM GOTS Permit#: BO4cD C 20 —2859 Date Installed: 2 tai(2iY2c New: Repair: h 5oT Installer Name: R(*ER,( (?) 0 vR. CO Installer Phone: rhi — $8 r Installation of(list all components, both newly installed and existing to remain in use): Zti c c_ 0 orc.ET TGE O J EXc s rt Lae- 5° Pr,L re Ctf. UNE Rc o ( S(71TrtLC— C_ t �iSTuJ& 0-(30X Leach Capacity(gpd): Ground Water Depth (inches): Health Inspection by: 1412A- 0-712-6/2.62.4) 2A— O"z`26`2 6Zo As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) REAR 5Y51-&M44 pk C�EAR� te. 4 0 0 7. FEB 2 7 2020 �I HEALTH DEPT. A B C D E F G 1 -24; ( 3' 2 N.( ' 3 3s ' 3 , , 4 5 6